Individual
MARIA INGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
7910 W THOMAS RD, SUITE 112, PHOENIX, AZ 85033-4830
(623) 414-4325
Mailing address
1515 E MISSOURI AVE, SUITE 201, PHOENIX, AZ 85014-2446
(602) 234-3733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2306603
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10355
AZ
Other
Enumeration date
01/30/2017
Last updated
07/15/2021
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